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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Petechiae On The Feet When I Stand For Long Hours?

Hi, When I stand for extended hours, my feet swell and I get petechia on my feets and calf’s. My work requires me to stand and walk a lot, but once I feel itching on my lower extremities, I know that the spots have started. They start as single spots then join to form patches. The skin does not peel but the feet are edematous. The spots take 2 to 3 days to clear and the swelling subsides the next day with rest. I get the same when I travel by plane for long hours. I had Doppler done and there is no concern. I’m a 37 year old healthy woman.
Wed, 20 Dec 2017
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Dermatologist,  's  Response
Hi.
As per your case history you are having pigmented purpuric dermatosis.
My treatment advice is -
1. Avoid standing for long periods of time and keep pillows below legs while sleeping.
2. Apply a calcium dobisilate cream like Osil cream twice a day on spots.
3. Take a vitamin c supplement once daily for 3 months.
4. Other treatment options are oral calcium dobisilate, multivitamins taken only after consulting a dermatologist.

Thanks.
Dr. Harshit bhachech.
MBBS, DDVL.
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What Causes Petechiae On The Feet When I Stand For Long Hours?

Hi. As per your case history you are having pigmented purpuric dermatosis. My treatment advice is - 1. Avoid standing for long periods of time and keep pillows below legs while sleeping. 2. Apply a calcium dobisilate cream like Osil cream twice a day on spots. 3. Take a vitamin c supplement once daily for 3 months. 4. Other treatment options are oral calcium dobisilate, multivitamins taken only after consulting a dermatologist. Thanks. Dr. Harshit bhachech. MBBS, DDVL.